Questions to Discuss with Your Doctor:
- Have you had any recent infections?
- Do you have a cough?
- Do you have sinus congestion?
- Do you have burning with urination?
- Do you know when to call your doctor with symptoms of infection?
- Do you have pain in any of your bones? If so, is it constant,
or does it occur only when you move?
- Have you had any recent fractures?
- Do you have pain in your spine? Does it radiate to another part
of your body?
- Have you noticed a decrease in sensation or strength in your
hands or feet?
- Have you had loss of bladder or bowel control?
- Do you know when to seek medical attention for back pain?
- Have you been fatigued?
- Have you been lightheaded?
- Have you been short of breath with minimal exertion?
- Do your gums bleed when you brush your teeth?
- Do you bruise easily, or get nosebleeds?
- Have you been weak, nauseated, constipated, or confused?
- Have you had a headache or a change in your vision?
- Can you feel any lumps or masses under your skin?
- Are you aware of the possible complications that can develop
from multiple myeloma?
- Do you know which symptoms should cause you to call your doctor?
Your Doctor Might Examine the Following Body Structures or Functions:
- Neurology examination (to check for strength and sensation in
your hands and feet)
- Lymph nodes (neck, axilla, and groin)
Your Doctor Might Order the Following Lab Tests or Studies:
- Blood tests for complete blood count, electrolytes, kidney
function, uric acid, calcium, and beta-2 microglobulin (see p.
- Serum protein electrophoresis or SPEP (see p. 157)
- Urine protein electrophoresis or UPEP
- Quantitative immunoglobulin levels in the urine and blood
- 24-hour urine collection for protein
- Bone marrow biopsy (see
- Skeletal radiographs
- CT scan (see p. 141)
- MRI scan (see